- High School
- 1+ years experience in jobs requiring interaction with health care members/patients/clients/customers
- Able to efficiently alternate focus between telephone and non-telephone tasks to support Department operations as dictated by business needs.
- Work weekends and company holidays as needed based on business and regulatory requirements.
- Bilingual in Spanish, Vietnamese, Chinese, or Tagalog
- Complete data entry for Medicare paper applications; complete workflow tasks for all Medicare enrollment and disenrollment requests (including for applications received via mail, the Medicare Online Enrollment Center, auto and facilitated web-based submission); complete any associated member reconciliation tasks, including outreach to members if information on application is incomplete; initiate all associated correspondence; complete all of the above accurately, in accordance with the Centers for Medicare and Medicaid Services (CMS) guidelines, and in compliance with any DHCS requirements.
- In response to internal and external inquiries and information, and in support of initiatives, work collaboratively with others to analyze, verify and resolve beneficiary enrollment, disenrollment, eligibility, demographics, and primary care provider assignment changes and issues in an accurate, timely, respectful, professional and culturally competent manner; communication may be via inbound call, outbound call, in person, fax, email, mail, or other appropriate communication channel.
- Accurately document and code all contacts and follow-up actions for member, provider and other communications and activities in accordance with established guidelines
- Track, analyze, validate and process assigned daily, weekly, and monthly enrollment and membership eligibility, integrity, audit, reconciliation/validation, and error reports accurately and in a timely manner.
- Identify, investigate, troubleshoot, and report eligibility and enrollment issues, errors and/or discrepancies.
- Dental insurance
- Health insurance
- Vision insurance
- 8 hour shift
- Monday to Friday
- This position is onsite 5 days a week, are you comfortable working onsite?
- High school or equivalent (Required)
- Multitasking between phone and non-phone tasks: 1 year (Required)
- Spanish, Vietnamese, Chinese, or Tagalog (Required)
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Enrollment Coordinator - San Jose, United States - TotalMed Staffing
Description
*Position Title*: Enrollment Coordinator*Hours*: 8am – 5pm M-F
*Pay Rate*: $29/hr
*Location*: On-site- San Jose, CA 95119
*Requirements*:
Job Type:
Full-time
Pay:
$29.00 per hour
Expected hours: 40 per week
Benefits:
Schedule:
Application Question(s):
Education:
Experience:
* health care members/patients/clients/customers: 1 year (Required)
Language:
Work Location:
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